THE LIBRARY OF THE
UNIVERSITY OF
NORTH CAROLINA
AT CHAPEL HILL
THE COLLECTION OF
NORTH CAROLINIANA
C614.1
N87v5
1984
UNIVERSITY OF N.C AT CHAPEL HILI
llllllilillill
00034018731
FOR USE ONLY IN
THE NORTH CAROLINA COLLECTION
Digitized by tine Internet Archive
in 2009 with funding from
Ensuring Democracy through Digital Access (NC-LSTA)
http://www.archive.org/details/northcarolinavit198402nort
LEADING CAUSES
OF MORTALITY
North Carolina
Vital Statistics
1984—Volume 2
>
LEADING CAUSES
OF MORTALITY
North Carolina
Vital Statistics
1984—Volume 2
State Center For Health Statistics
EC Departmentd Hnnuui Resooreaf
Diviskm of Health SerfiMt
STATE OF NORTH CAROLINA
James G. Martin, Governor
DEPARTMENT OF HUMAN RESOURCES
Phillip J. Kirk, Jr., Secretary
DIVISION OF HEALTH SERVICES
Ronald H. Levine, M.D., M.P.H., State Health Director
OFHCE OF MANAGEMENT SERVICES
Margaret Woodcock, M.A., M.P.A, Assistant Director
STATE CENTER FOR HEALTH STATISTICS
Charles J. Rothwell, M.B.A., M.S., Director
October 1985
750 copies of this public document were
printed at a cost of $1,283.00 or $1.71 per copy.
TABLE OF CONTENTS
Page
FIGURE l.A—Department of Human Resources Regions v
FIGURE 1 .B—Health Service Areas . . . . vi
PREFACE vii
I. COMPUTATION OF MORTALITY RATES 1- i
II. INTERPRETATION OF MORTALITY RATES 2- 1
III. FLAGGING BIASED RATES 3. 1
IV. NORTH CAROLINA MORTALITY HIGHLIGHTS 4. l
V. TABLES AND RGURES: MORTALITY STATISTICS FOR 1980-84
Total Deaths 5, 3
Heart Disease 5, 9
Acute Myocardial Infarction 5, 15
Other Forms of Ischemic Heart Disease 5, 21
Hypertension with or without Renal Disease 5. 27
Cerebrovascular Disease 5, 29
Atherosclerosis 5, 35
Cancer 5-37
Cancer of Stomach 5, 43
Cancer of Colon, Rectum, and Anus 5- 49
Cancer of Pancreas 5- 55
Cancer of Trachea, Bronchus, and Lung 5- 61
Cancer of Female Breast 5. 67
Cancer of Cervix Uteri 5. 73
Cancer of Ovary and Other Uterine Adnexa 5- 79
Cancer of Prostate 5-85
Leukemia 5-91
Diabetes Mellitus 5- 97
Pneumonia and Influenza 5, 99
Chronic Obstructive Pulmonary Disease 5-105
Chronic Liver Disease and Cirrhosis 5-111
Nephritis, Nephrotic Syndrome, and Nephrosis 5-117
Motor Vehicle Accidents 5-123
All Other Accidents and Adverse Effects 5-129
Suicide 5-135
Homicide 5-141
Infant Mortahty 5-147
VI. TABLES AND HGURES: MULTIPLE CONDITIONS PRESENT AT DEATH, 1980-84
REFERENCES
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PREFACE
The State Center for Health Statistics has produced periodically a major publication describing North Carolina's
mortality experience for a five-year period. The 1981 Leading Causes of Mortality, the third major publication of this
type, included statistical tables, maps, and graphs as well as an analysis for each leading cause of death in North
Carolina. In the interim years, the State Center publishes supportive reports of mapped and tabular data only.
This edition o( Leading Causes of Mortality is a supportive report which should be used in conjunction with the
1981 edition for purposes of health planning and analysis. Another report that can be used is Detailed Mortality
Statistics which provides annual counts of deaths classified according to detailed underlying causes of death and the
age, race, and sex of decedents.
The tables and maps in this report show selected mortality statistics for counties. Department of Human
Resources regions. Health Services Areas, and the state (see maps on preceding pages). More than a dozen of North
Carolina's leading causes of mortality are depicted in these tables and maps. In addition, the site-specific cancers and
total infant mortality are also tabled and mapped. Table 1 on page 4-3 describes the selected cause-of-death
categories in terms of codes from International Classification of Diseases (Ninth Revision). Altogether, the causes
included in this report accounted for 86.1 percent of all North Carolina deaths during 1984.
As with previous editions, multiple conditions present at death are included in this volume. Three diseases in
particular—hypertension, atherosclerosis, and diabetes—are considered associated conditions far more often than
they are considered an underlying cause. Hence, Figures 29.A through 3 1 .B display 1980-84 county rates for deaths
associated with a mention of each of these diseases.
IN USING THIS VOLUME PARTICULAR ATTENTION IS CALLED TO THE SECTIONS ON INTERPRE-TATION
OF MORTALITY RATES AND FLAGGING BIASED RATES.
I. COMPUTATION OF MORTALITY RATES
In this report, total death rates are expressed as resident deaths per 1,000 population while all cause-specific
mortality rates are expressed as resident deaths per 1 00,000 population . All rates in Tables 1-27 use total population
in the denominator, except rates for the sex-specific cancer sites, which use male or female population in the
denominator. The infant mortality rates of Table 28 and Figure 28 are computed as the number of resident deaths
under one year of age per 1 ,000 resident live births. Population bases for the rates of this report were provided by the
Office of State Budget and Management in the Governor's Office.
Vital events in this report are allocated to place of residence. For deaths of inmates of long-term institutions
(mental, penal, old age, orphan, nursing home, rest home, etc.), the institution is considered the usual residence
provided the decedent had resided in the institution at least one year. College students and military personnel are
considered residents of the college or military community.
The following definitions apply to the rates of Tables 1-27.
Unadjusted Annual Death Rate: the annual death rate computed as resident deaths per 1,000 or 100,000
population. These rates permit the user knowledge of an area's status with respect to the observed incidence of
mortality during the given year.
Unadjusted 5-Year Death Rate: the average annual death rate computed as average resident deaths per 1 ,000 or
1 00,000 average population. These rates permit the user knowledge of an area's status with respect to the observed
incidence of mortality during the 5-year period. These rates are depicted in the Series A maps (e.g.. Figures 2. A, 3. A,
etc.) printed in blue.
Adjusted 5-Year Death Rate: the average annual age-race-sex-adjusted rates computed by the direct method. Also
expressed as deaths per 1 ,000 or 100,000 population, these rates are those which would be expected if the average
annual age, race, and sex composition of each county's population were the same as that estimated for the state.
These rates are free of differing effects of age, race, and sex and thus permit the user knowledge of an area's status
with respect to other determinants of mortality during the 5-year period. However, the user should not compare an
adjusted death rate with an unadjusted death rate. Also, adjusted rates for different time periods cannot be directly
compared unless they were adjusted by the same standard population. The adjusted rates are depicted in the Series B
maps (e.g., Figures 2.B., 3.B., etc.) printed in red.
For the maps, a clustering routine* from the Statistical Analysis System (SAS) was used to group counties that are
"most like each other" with respect to their unadjusted rate and then their adjusted rate ( 1 ). These maps show six
levels of death rates, where level one is the lowest rate interval and level six the highest.
*In 1 983 the State Center for Health Statistics conducted an evaluation of several clustering methods. It was found
that one method, called "Average Linkage Method," produced tighter clusters (i.e., clusters with smaller
within-cluster variances) than the other methods examined. Consequently, we plan to use this method hence-forth
to cluster county rates in all SCHS publications.
1-1
II. INTERPRETATION OF MORTALITY RATES
To assess an area's relative mortality conditions during a five-year period, both the unadjusted rate and the
adjusted rate can be compared to the state rate for a particular cause of death. Then, provided the area's unadjusted
rate represents a relatively stable situation, viz., the rate has not fluctuated widely in recent years, the following
.liternative diagnoses will apply:
Relative Status Of
Unadjusted Adjusted
Rate Rate Diagnosis
Low
Low
High
Low
High
Low
Low mortality is not due to age, race, and sex fac-tors;
other mortality conditions are favorable.
Low mortality is due to favorable age, race, and sex
factors; other mortality conditions are unfavorable.
High mortality is due to unfavorable age, race, and
sex factors; other mortality conditions are favor-able.
High High High mortality is not due to age, race, and sex fac-tors;
other mortality conditions are unfavorable.
In usmg adjusted rates, it is important that the user understand the reason for adjustment. The following
hypothetical example illustrates. Here, A and B stand for population subgroups, e.g., whites and nonwhites, males
:ind females, etc.
Ptipulation A
Population B
Total
County
Population Deaths
300,000 1,000
10,000 10
310,000 1,010
Death
Thus, as rates specific for A and B imply, the county's rate is lower than the state's rate after adjustment for the
factor represented by A and B.
Caution!
In assessint^ the relative mortality conditions of a county, one should he particularly aware of rates based on small
numbers of deaths since, in such cases, random fluctuation in the rate may render rate comparisons risky. The reader
should read very carefully the next section entitled "Flagging Biased Rates."
2-2
III. FLAGGING BIASED RATES
The age-race-sex adjusted rates in this pubhcation that have been determined to be biased are flagged with an
asterisk to suggest caution in their use. A complete description of the rationale and method for flagging biased rates
can be found in the 1981 Leading Causes of Mortality. A short summary is provided below.
Any rate with a small number of events (deaths) in the numerator will have substantial random variability over
time, or a large standard error. A useful rule of thumb is that any rate based on fewer than 20 events in the numerator
may involve serious random error and should be used very cautiously in making comparisons or assessing trends (2).
Many of the rates in this volume do have numerators smaller than 20.
In addition to the problem of a large standard error, the age-race-sex-adjusted rates in this volume may be biased
due to one or more deaths in a small age-race-sex population group. One death out of an estimated population of 5,
for example, would produce a death rate of 20,000 per 100,000 population. If this rate were applied to the
appropriate age-race-sex group of the standard population, a very large number of expected deaths would result and
the adjusted rate would be biased. In this volume an adjusted rate is flagged if: a) applying the age-race-sex-specific
rates of a county for a given cause to the standard population results in more than 25 percent of the total expected
deaths being generated by one cell, and b) the denominator of the rate is also less than 50 (an average of 10 per year).
These criteria will catch only the worst problems. Only thirty-three out of a total of 2500 county adjusted rates in
this volume are flagged by this method.
In addition to putting asterisks by those 1980-84 adjusted rates with a large bias due to an extremely high
age-race-sex-specific rate, the rates have been recomputed by substituting the appropriate North Carolina age-race-sex-
cause-specific rate in the problem cell. The table on the next page compares the flagged rates with the rates where
the state rate has been substituted. The reader who must use one of these flagged rates is advised to use the rate in this
table with the substitution instead. If the latter rate is clearly out of line with the North Carolina rate in the last
column, the rate should be treated as missing data.
3-1
u
IV. NORTH CAROLINA MORTALITY HIGHLIGHTS
In the 1981 Leading Causes of Mortality extensive analyses of North Carolina's mortality experience were
presented. That volume contained statistical tables, maps, and graphs as well as cause-specific discussions of trends,
geographic patterns, risk factors, and recent research. We do not expect that the general mortality picture has
changed very much in three years. Thus in this section, we will highlight 1984 unadjusted death rates for selected
causes and the changes in rates from 1981 through 1984. The reader should consult the 1981 volume for a detailed
discussion of each cause.
As shown in Table 1, a total of 51,032 North Carolinians died in 1984, a rate of 8.27 deaths per 1,000
population. The 1984 rate is equivalent to the 1983 rate which was 2.4 percent above the 1982 rate.
The median ageat death was 71. 7 years, up from 7 1.4 years in 1983, 70.7 in 1982, 70.4 in 1981, 66.4 in 1970,
and 28. 1 in 1914 when deaths were first centrally recorded. The median age at death for whites was 72. 1 years
compared to 68.1 years for nonwhites.
The ten leading causes of death are heart disease, cancer, cerebrovascular disease, accidents, chronic obstruc-tive
pulmonary disease, pneumonia and influenza, diabetes, suicide, chronic liver disease/cirrhosis, and
nephritis/nephrotic syndrome/nephrosis.
Of the selected causes of death shown in this volume, cancer, cerebrovascular disease, and homicide were the
only causes to show consistent changes in rates between 1981 and 1984. The cancer rate increased each year
(from 166.23 to 172.75 per 100,000 population) while the rates for cerebrovascular disease and homicide
declined (from 79.2 to 73.2 and 10.5 to 8.5, respectively). Other causes involving large percent changes
between 1981 and 1984 were chronic liver disease/cirrhosis (—13%), atherosclerosis (—11%), all other
accidents (—8% ), motor vehicle accidents (—6%), diabetes ( +6% ), and chronic obstructive pulmonary disease
( + 11%). These changes were statistically significant at the .05 level for cerebrovascular disease, total cancer,
chronic obstructive pulmonary disease, chronic liver disease/cirrhosis, all other accidents, and homicides.
With the exception of nonwhite females whose rate declined only 3 percent, each race-sex group experienced
at least a 20 percent decline in homicide rates between 1 98 1 and 1 984. Despite these declines, the unadjusted
rate for nonwhite males continues to be at least three times the rate of any other race-sex group.
Among the nine site-specific cancers referenced in this volume, the unadjusted rates for ovarian, breast and
lung cancers increased each year between 1 98 1 and 1 984 and declined each year for cancer of the cervix uteri.
The percent changes for the increasing rates were 13.6, 11.1 and 10.8 respectively, and 10.2 for the declining
rate. Of these four causes, only the changes for lung and female breast cancers were statistically significant at
the .05 level . Rates for the other site-specific cancers fluctuated between 1 98 1 and 1 984; however, their 1 984
rates did not deviate more than 5% from the 1981 rates.
Comparisons of female breastand ovarian cancer rates by race are risky since they are based on small numbers
of events. However, between 1981 and 1984 female breast cancer increased each year among both race groups,
with the 1984 white and nonwhite rates being 9.8 and 16.4 percent, respectively, above the 1981 rates. No
discernible pattern was noted for ovarian cancer death for either race group.
While the unadjusted lung cancer rate increased each year from 1981 to 1984, the rates fluctuated for each
race-sex group except nonwhite females. White females, whose rate increased in both 1983 and 1984,
experienced the largest percent increase from 1981 to 1984 (25 percent), followed by nonwhite males (11
percent ) and white males ( 7 percent). For nonwhite females, the unadjusted rate continues to remain relatively
stable.
4-1
After increasing 4.0 percent from 1981 to 1982, the overall infant mortality rate declined 3.4 percent in 1983
and another 5.3 percent in 1984 to a rate of 12.5 deaths per 1000 live births. The rate reductions were due
primarily to reductions in nonwhite neonatal mortality (from 14.2 in 1982 to 12.5 in 1983 to 1 1.5 in 1984).
Provisionally, North Carolina's infant rate was exceeded by only five states in 1984 (3). The nonwhite
postneonatal mortality rate remained unchanged in 1984 following a large increase in 1983 (21.8%). Due to
the small numbers involved, this increase was not statistically significant.
After declining in 1983 to 748 cases, the number of suicides increased to 820 recorded cases in 1984, the
highest number of cases ever recorded for North Carolina residents. White males still account for a
preponderance of North Carolina's suicides, comprising 7 1 % of all recorded cases in 1 984. Among teenagers,
the number of suicides increased from 36 to 55 from 1983 to 1984; however, the 1984 number is comparable
to the 1981 and 1982 numbers (54 and 62, respectively).
Since 1 960 North Carolina has experienced rapid increases in the septicemia death rate, a pattern also evident
for the U.S. The 1970-80 average annual percent increase (19.4%) was almost twice the 1960-70 average
annual increase (10.0%). Between 1981 and 1984, the rate increased another 46 percent (from 5.0 to 7.3
deaths per 100,000 population). Approximately 72 percent of these decedents in 1984 were 65 years of age or
over, down from 74 percent in 1983 but up from 65 percent in 1982 and 60 percent in 1981.
After declining each year since 1981, the state's motor vehicle mortality rate increased 14.1 percentfrom 1983
to 1984 to a rate of 24. 1 deaths per 100,000 population. However, the 1984 rate continues to be below the
1981 rate (24.1 vs. 25.6, respectively).
With the exception of 1983, the state's non-motor-vehicle accident mortality rate declined each year. The
1984 rate (22.7 deaths per 100,000 population) was 8.1 percent below the 1981 rate, a decline that is
statistically significant at the .05 level. The leading causes of fatal non-motor-vehicle accidents were submer-sions/
suffocations, falls, and fires. Among infants dying from a non-motor-vehicle accident (18), most (83
percent) died as a result of submersion/suffocation or fire. Almost all of these decedents (93 percent) were
over 28 days of age.
Certain chronic diseases contribute to death far more often than they are considered the underlying cause of
death. Specifically, atherosclerosis, hypertension, diabetes, and nephritis/nephrosis were listed on the death
certificates of 25.8, 8.1, 7.8, and 5.1 percent, respectively, of all 1984 decedents. As underlying causes, the
percentages were 1.1, 0.5, 1.7, and 1.1, respectively.
4-2
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V. TABLES AND FIGURES:
MORTALITY STATISTICS
FOR 1980-84
TABLE 2
MORTALITY STflllSTICS FOR 1984
NORTH CAROLINA RESIDENTS
TOTAL DEATHS (PER 1000 POPULATION)
GEOGRAPHICAL
AREA
NORTH CAPOLIMA
NUMBER UEATH NUMBER DEATH
OF DEATHS RaTE* OF DEATHS RATE*
1984 19e-
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TABLE 3
f'ORTALlTY STATISTICS FOR 1 9 & >*
NORTH CAROLINA RESIDENTS
DISEASES OF HEART
(jEOGRaHHICAL
ArLA
NORTH CAROLINA
NUMBER
MORTALITY STATISTICS FOR 1904, NORTH CAKOLINA RESIDENTS
UISEASLS OF HE.ART CONT'D.
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MORTALITY STATISTICS FOR 1984
NORTH CAROLINA RESIDEr^TS
ACUTE MYOCARDIAL INFARCTION
NUMBER
MORTALITY STATISTICS FOR 19et, NORTH CAROLINA RESIDENTS
ACUTE MYOCARDlHL INFARCTION CONT'D.
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TABLE 5
MORTALITY STATISTICS FOR igBH
NORTH CAROLINA RESIOLNTS
OTHER FORMS OF ISCHEMIC HEART DISEASE
NUMBER
MORTALITY STATISTICS TOR 1984, NORTH CAROLINA RESIDENTS
UTHER (-OKMS OF ISCHEMIC HEART DISEASE CONT'D.
COUNTIES
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TABLE 6
MORTALITY STATISTICS FOR iga**
NORTH CAROLINA RESIDENTS
HYPLRTENSION WITH OR WITHOUT RENAL DISEASE
bEOGRAHHICAL
APLA
MORTAIITY STATISTICS FOR 19P4, NORTH CAROLINA RESIDENTS
HYPEKTLWSION WITH OR WITHOUT RENAL DISEASE CONT'D.
LOUNT Its
(CONT'D)
4if HALIFAX
tS HARMLTT
>*-i TYRRELL
90 UNION
91 VANCE
92 WAKE
93 WARREN
91 WASHINGTON
9b WATAUGA
9b WAYNE
97 WILKES
96 WILSON
99 YADKIN
100 YANCEY
NUMBER
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TABLE 6
MORTALITY STATISTICS FOR 198H
NORTH CAROLINA RESIDENTS
ATHEROSCLEROSIS
NUMBER
MORTALITY STATISTICS FOR 19e
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TABLE 10
MORTALITY STATISTICS FOR 1984
NORTH CAROLINA RESIDENTS
CANCER OF STOMACH
MORTALITY STATISTICS FOR 19^^, NORTH CAROLINA RESIDENTS
CANCER OF STOMACH CONT'D.
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TABLE 11
MORTALITY STATISTICS FOR 198'+
NORTH CAROLINA RESIDENTS
CANCER OF COLON, RECTUM ANO ANUS
GEOGRAPHICAL
AREA
NORTH CAWOLINA
NUMBER
MORTALITY STATISTICS FOR 198t. NORTH CAROLINA RESIDENTS
CANCER OF COLON, RECTUM AND ANUS CONT'D.
COUNTIES
(CONT'D)
tZ HALIKAX
Ui HARNETT
1H HAYWOOD
4S HENDERSON
tb HERTFORD
47 HOKF
te HYDE
49 IREDELL
50 JACKSON
51 JOHNSTON
52 JONES
54 LEE
5H LENOIR
5b LINCOLN
56 MCDOWELL
57 MACON
5e MADISON
59 MARTIN
60 MECKLENBURG
61 MITCHELL
62 MONTGOMERY
63 MOORE
61 NASH
66 NEW HANOVER
66 NORTHAMPTON
67 ONSLOW
68 ORANGE
69 PAMLICO
70 PASQUOTANK
71 PENDER
72 PERQUIMANS
74 PERSON
7H PITT
75 POLK
7b RANDOLPH
77 RICHMOND
78 ROBESON
79 ROCKINGHAM
eu ROWAN
81 RUTHERFORD
82 SAMPSON
84 SCOTLAND
84 STANLY
85 STOKES
86 SURRY
87 SWAIN
86 TRANSYLVANIA
89 TYRRELL
90 UNION
91 VANCE
92 WAKE
94 WARREN
94 WASHINGTON
95 WATAUGA
9b WAYNE
97 WILKES
98 WILSON
99 YADKIN
100 YANCEY
• SEE SECTION I
NUMBER
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TABLE 12
MORTALITY STATISTICS FOR ige"*
NORTH CAROLINA RESIDENTS
CAMCER OF PANCREAS
GEOGRAPHICAL
ARtA
NORTH CAROLINA
NUMBER
MORTALITY STATISTICS FOR 198t. NORTH CAROLINA RESIDENTS
CANCER OF PANCREAS CONT'D.
COUNTIES
(CONT'D)
42 HALIFAX
ita HARNETT
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NUMBER
MORTAlITt STATISTICS FOR ige**. NORTH CAROLINA RESIDENTS
LANCER OF PROSTATE CONT'D.
COUNTIES
(CONT '0)
2 HALIFAX
^a HARMtTT
t4 HAYWOOD
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TABLE IB
MORTALITY STATISTICS FOR igSt
NORTH CAROLINA RESIDENTS
LEUKEMIA
NUMBER DEATH
OF DEATHS RATE*
1980-8'+ igso-ai
NORTH CAROLINA
NUMBER
MORTALITY STATISTICS FOR I'ie'*' NORTH CAROLINA RESIDENTS
LEUKLMA CONT'D.
COUNTILS
(CONT'U)
i7 HOKE
ta HYDE
ty IREDELL
5U JACKSON
51 JOHNSTON
b^ JONES
53 LEE
54 LENOIR
55 LINCOLN
5b MCDOWELL
57 MACON
5H MADISON
59 MARTIN
60 MECKLENBURG
61 MITCHELL
62 MONTGOMERY
63 MOORE
64 NASH
6b NEW HANOVER
66 NORTHAMPTON
67 ONSLOW
66 0RAM6E
69 PAMLICO
70 PASQUOTANK
71 PENDER
72 PERQUIMANS
73 PERSON
74 PITT
75 POLK
7b RANDOLPH
77 RICHMOND
7a ROBESON
Ti ROCKINGHAM
80 ROWAN
81 RUTHERFORD
82 SAMPSON
83 SCOTLAND
84 STANLY
8b STOKES
8b SURRY
87 SWAIN
ee TRANSYLVANIA
89 TYRRELL
90 UNION
91 VANCE
92 WAKE
93 WARREN
94 WASHINGTON
9b WATAUGA
9b WAYNE
97 WILKES
9B WILSON
99 YADKIN
100 YANCEY
SEE SECTION I
NUMBER
T A H L E ?
MORTALITY STATISTICS FOR 198t
NORTH CAROLINA RESIOtNTS
PNEUMONIA AMD INFLUENZA
CEOGRAPHICAL
ARLA
numrer
MORTALITY STATISTICS FOR 198it, NORTH CAROLINA RESIDENTS
PNEUMONIA AND INFLUENZA CONT'D.
COUNTIES
ICONT '0)
ti! HALII-AX
"i HARNLTT
tt HAYKOOD
tb HENDtKSON
16 HERTFORD
:* IREDELL
50 JACKSON
51 JOHNSTON
52 JONES
54 LEE
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NUMBER
MORTALITY STATISTICS FOR ige"*. NORTH CAHOLINA RESIDENTS
CHRONIC LIVER DISEASE AND CIRRHOSIS CONT'D.
COUNTIES
(CONT'D)
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TABLE ? >*
MORTALITY STATISTICS FOR 19ai+
WORTH CAROLINA RESIDLNTS
MOTOR VLMItlF ACCIDENTS
bEO&PA^'HICAL
NORTH CAROLINA
NUMrFR
MORTALITY STATISTICS FOR 196 in m T 00 ro IT) irj
. « CD CD
Q^Q n^o o^ UD 00 -•
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TABLE 28
MORTALITY STATISTICS FOR 1981*
NORTH CAROLINA RESIDLNTS
INFANT DEATHS
bEOGRAPHlCAL
ARLfl
NUMBER
MORTALITY STATISTICS FOR igflt, NORTH CAROLINA RESIDENTS
INFANT DEATHS CONT'D.
COUNT Its
(CONT'D)
'i! HALIFAX m HARMLTT
tH HAYWOOD
4b HENOt-RSON
16 HERTFORD
17 HOKf
ttt HYDE
4^ IREPtLL
5U JACKSON
51 JOHNSTON
bH JONES
53 LEE
54 LENOIR
55 LINCOLN
5b MCDOWELL
57 MACON
5b MADISON
^•i MARTIN
60 MECKLENBURG
61 MITCHELL
6i? MONTGOMERY
63 MOORE
6H NASH
65 NEW HANOVER
6b NORTHAMPTON
67 ONSLOW
6a ORANGE
6y PAMLICO
7U PASQUOTANK
71 PENDER
la PERQUIMANS
73 PERSON
74 PITT
7b POLK
76 RANDOLPH
77 RICHMOND
78 ROBESON
Ti ROCKINGHAM
8U ROWAN
Bl RUTHERFORD
6^ SAMPSON
83 SCOTLAND
84 STANLY
8b STOKES
86 SURRY
87 SWAIN
88 TRAriSYLVANIA
8V TYRRELL
90 UNION
91 VANCE
'i^ WAKE
93 WARREN
94 WASHINGTON
9b WATAUGA
9b WAYME
97 WILKES
98 WILSON
99 YADKIN
100 YANCEY
* SEE SECTION I
NUMBER
CE
CH
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VI. TABLES AND FIGURES:
MULTIPLE CONDITIONS
PRESENT AT DEATH
1980-84
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REFERENCES
1. SAS Institute Inc. SAS User's Guide: Statistics, 1982 Edition, Cluster Procedure. Cary, N.C., 1982.
2. Kleinman, J.C. "Infant Mortality," Statistical Notes /or Health Planners. Number 2, National Center for Health
Statistics, Rockville, Maryland, July 1976.
3. United States Departnnent of Health and Human Services, Public Health Service, National Center for Health
Statistics. "Births, Marriages, Divorces, and Deaths for 1984," MontKI> Vital Statistics Report. (PHS) 85-1 120,
Volume 33, Number 12, Hyattsville, Maryland, March 26, 1985.
7-1
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Division of Health Services
State Center for Health Statistics
P.O. Box 2091
Raleigh, N.C. 27602-2091
919/733-4728
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U.S. Postage PAID
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JEFFREY T. HICKS
V